下城区家庭就医意愿调查及其影响因素分析  

Survey of Families' Wills to Medical Treatment and Its Influencing Factors in Xiacheng District,Hangzhou

作　　者：何玉芳[1] 裘伟康[2] 周晓红[1] 席胜军[1] 

机构地区：[1]杭州市下城区疾病预防控制中心,浙江杭州310003 [2]杭州市下城区卫生监督所

出　　处：《浙江预防医学》2010年第3期7-10,共4页Zhejiang Journal of Preventive Medicine

摘　　要：目的了解下城区家庭就医意愿及其影响因素,为医疗体制改革提供科学依据。方法采用自行设计的《家庭就医意愿调查问卷》,分层随机抽样调查510户家庭,了解如果生病,首选就诊医疗机构情况,并对一般情况、健康状况和医疗保险、医疗资源和医疗费用共14个因素与首选社区卫生服务中心(站)或药店就诊的关系采用单因素分析和Logistic回归分析。结果首选社区卫生服务中心(站)或药店就诊的比率为29.3%;目前的身体状况不好、就诊程度方便,首选社区卫生服务中心(站)或药店就诊的比率相对较高,而购买商业医疗保险和去年医疗费用越高,其比率相对较低。结论加大宣传力度,提高就诊意识和改变旧的就诊观念,继续推行医疗体制改革。Objective To investigate families＇ wills to medical treatment and its influencing factors in Xiacheng district so as to provide scientific evidence for medical system reform. Methods Through stratified random sampling, 510 families were selected and surveyed by using questionnaire of will to medical treatment. The relationships between the first - choice of medical institution and totally 14 factors including the general information, health status, medical insurance, medical resources, medical expenses and so on were analyzed by univariate analysis and Logistic regression. Results 29. 3% of the families chose community health service centers （stations） or drugstores as their first will to medical treatment. The ratio was relatively high in those with poor health conditions and those convenient to these institutions, while relatively low in those who bought commercial medical insurances and those who spent much for medical care last year. Condusion The propaganda needs to be strengthened so as to raise families＇ consciousness and change traditional opinions of medical treatment. Moreover, it is important to continue the reform of medical system.

关 键 词：就医意愿 家庭 LOGISTIC回归分析 

分 类 号：R197.1[医药卫生—卫生事业管理]